CQC report explained · a residential care home
What the CQC found at Bradbury House
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2022
Inspected but not rated; inspectors found good infection control and arrangements to manage COVID-19 risks.
This was an announced, targeted inspection on 2 February 2022. Inspectors looked at infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected care.
Inspectors were assured that the home was managing infection risks. Visitors were tested and screened, people were admitted safely, staff had suitable protective equipment, and regular testing was carried out.
The home had experienced two small coronavirus outbreaks. Inspectors found these had been managed well, with no further spread between people. The home was clean, used infection control audits, and had acted on advice from an NHS cleaning service.
The home was inspected but not rated. This means the report does not provide a formal overall rating or ratings for the other four areas of care.
Visitor safety checks
Visitors were asked for evidence of a same-day lateral flow test, or could test on arrival. Their screening form, vaccination status and temperature were also checked.
“Visitors were asked to provide evidence of completing a lateral flow (rapid result) swab test on the day of the visit” from the report
Outbreak management
The home had two small coronavirus outbreaks during the pandemic. Inspectors found they had been managed without further transmission between people.
“both of which were managed well with no further transmission between people.” from the report
Protective equipment and testing
Staff had access to protective equipment and had training in how to use and dispose of it. People living at the home and staff were tested regularly.
“Staff had access to personal protective equipment (PPE) to protect themselves and others from the risk of infection.” from the report
Cleaning improvements
The home was clean and had received NHS cleaning advice. It acted on recommendations, including cleaning remote controls daily.
“The provider had responded to recommendations in the audit report.” from the report
Inspectors raised no specific concerns in this report.
- 01Are the visitor testing, screening and essential care giver arrangements still the same?
- 02How often are staff and residents currently tested for infections?
- 03What is the current procedure if there is an outbreak, and how are visits managed during it?
- 04How do you make sure there are enough staff when people are absent or isolating?
- 05Are remote controls and other frequently touched items still cleaned daily?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it was not a full inspection of the other care areas. This explanation was written from the published report of 18 February 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, August 2019
Rated Good; inspectors found safe, kind and personalised care, with the Safe rating improved from Requires Improvement.
This was an unannounced inspection on 1 August 2019. One inspector spoke with people, relatives, staff and a healthcare professional. They also checked care records, medicine records, staff files, complaints, accidents and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough suitably skilled staff, safe medicines practice, good infection control and personalised care.
People said staff were kind, respectful and knew them well. The home supported people's health, food and drink needs, choices, activities and relationships. The Safe rating improved from Requires Improvement at the previous inspection, while the other four ratings remained Good.
Safe care and staffing
People told inspectors they felt safe and that staff were available to help. Risk assessments, recruitment checks and staffing levels supported people's safety.
“People told us there were enough staff to support them. One person said, "There is always someone to help if you call".” from the report
Kind and personalised support
Staff knew people well and treated them as individuals. Inspectors saw staff offering choices and respecting privacy, dignity and independence.
“People were supported by staff who were kind and caring. One person told us, "The girls [staff] are all very good, kind and gentle".” from the report
Health and nutrition
The home worked with healthcare professionals and supported people's food, drink and health needs. Care plans recorded preferences, allergies and risks such as weight loss.
“People were supported to live healthier lives through regular access to health care professionals such as their GP, dentist or optician.” from the report
Activities and relationships
People could take part in a wide range of activities and social events. Visitors and relatives were welcomed and invited to join in.
“People enjoyed a wide range of activities that were coordinated by the activity staff.” from the report
Open management and improvement
The manager used audits, surveys and feedback to identify improvements. The report describes a clear leadership structure and an open culture.
“The provider successfully maintained an open and transparent culture which contributed to staff work satisfaction and in turn the staff delivering good care for people.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you assess and update care plans when a person's needs change?
- 02How do you make sure medicines, including as-required medicines, are given safely and recorded correctly?
- 03What activities would be available for my relative based on their interests, abilities and communication needs?
- 04How would you support my relative's food, drink and weight if they were at risk of malnutrition?
- 05How would you record and respect my relative's wishes about end of life care?
This was an unannounced inspection covering the overall service and all five CQC questions; the report says the home provided accommodation and personal care and that both the premises and care were looked at. This explanation was written from the published report of 21 August 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Bradbury House
2 rated inspections over 3 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- August 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 10 December 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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89 live-in carers within about an hour of Buckinghamshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,300 a week. 79 can care for a couple. 13 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“She was v competent and confident and we felt our mum was safe in her care. She supported us through a difficult time.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.